Recombinant antibody phage display technology has been used to mimic many aspects
of the processes that govern the generation and selection of high-affinity
natural human antibodies in the human immune system, especially for infectious
disease prophylaxis. An anti-rabies virus immunized phage-display Fab library
was constructed from peripheral blood lymphocytes from vaccinated volunteers.
The immunized antibody library, with a diversity of 6.7×108,
was used to select and produce antibodies that bound to rabies virus
glycoprotein. After five rounds of immobilized fixed rabies virion panning, four
unique DNA sequences were found in the higher binding clones, and only one,
Fab094, showed neutralization activity. Fab094 components were analyzed by
ELISA, immunoprecipitation and immunofluorescent staining. ELISA and
immunofluorescence showed that Fab094 bound specifically to rabies virions.
Immunoprecipitation and mass spectrometry showed that Fab094 reacted with rabies
virus glycoprotein. To improve the penetration power of Fab094 antibodies, we
developed Fab094 calcium phosphate nanoparticles (Fab094-CPNPs) and tested their
efficacy. The rapid fluorescent focus inhibition test indicated that the
neutralizing antibody titers of Fab094 and Fab094-CPNPs were reached at 200.17
IU/Kg and 246.12 IU/Kg, respectively. These findings were confirmed in vivo in a
Kunming mouse challenge model. Our results demonstrate that human Fab094 and
Fab094-CPNPs are efficacious candidate drugs to replace rabies immunoglobulin in
post-exposure prophylaxis (PEP).